Provider Demographics
NPI:1295951259
Name:KLADNIK, KENNETH FRANCIS (MED, ATC)
Entity type:Individual
Prefix:MR
First Name:KENNETH
Middle Name:FRANCIS
Last Name:KLADNIK
Suffix:
Gender:M
Credentials:MED, ATC
Other - Prefix:
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Mailing Address - Street 1:1711 E CANTERBURY DR
Mailing Address - Street 2:
Mailing Address - City:ELLENSBURG
Mailing Address - State:WA
Mailing Address - Zip Code:98926-5130
Mailing Address - Country:US
Mailing Address - Phone:509-963-3238
Mailing Address - Fax:509-963-3236
Practice Address - Street 1:1711 E. CANTERBURY
Practice Address - Street 2:
Practice Address - City:ELLESNBURG
Practice Address - State:WA
Practice Address - Zip Code:98926
Practice Address - Country:US
Practice Address - Phone:509-963-3238
Practice Address - Fax:509-963-3236
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer